Organization
JACK PASULA DC PA
Active
Other names
BOCA PAIN FREEDOM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK PASULA D.C. (PRESIDENT)
(561) 483-3900
Entity
Organization
Contact information
Practice address
20925 LYONS RD, BOCA RATON, FL 33428-1423
(561) 483-3900
(561) 483-5554
Mailing address
20925 LYONS RD, BOCA RATON, FL 33428-1423
(561) 483-3900
(561) 483-5554
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CH-9028
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60758
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/26/2008
Last updated
02/20/2009
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